Pulp capping carious exposures in adults: calcium hydroxide or MTA?

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This small but well conducted RCT compares the effectiveness of MTA and calcium hydroxide for direct pulp capping material in adult molars with carious pulpal exposure finding better performance for MTA at 3 years.

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Retrograde root filling: insufficient evidence for best material

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The Cochrane review of of materials for retrograde root filling identified 6 RCTs all at high risk of bias. The trials provide insufficient evidence to draw any conclusion as to the benefits of any one material over another so more high quality studies are needed.

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Endodontic treatments for immature necrotic teeth

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This review of endodontic treatments for immature teeth included 7 small RCTs at medium to high risk of bias. They suggest that mineral trioxide (MTA) may provide better clinical outcomes in relation to apical closure but the findings should be interpreted with caution.

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Pulp capping in primary and permanent teeth-limited high quality studies

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This review of pulp capping in primary and permanent teeth included 11 studies involving a total of 1196 teeth in 922 patients . Most materials did not show superiority compared with calcium hydroxide.

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Irrigants for pulpectomy in primary teeth- little evidence available

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This review of irrigants for pulpectomy in primary teeth only identified 7 small RCTs providing little conclusive evidence. More high quality studies are needed.

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Coronal pulpotomy in permanent molars

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This review of coronal pulpotomy in permanent teeth demonstrated good survival at 2 years 92% (95%CI; 84 -100). However as the majority of studies were observational they should be viewed cautiously until further high quality RCTs are available.

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Root perforation repair: non-surgical approach has good success suggests review

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This review of root perforation repair included 17 studies that were mainly retrospective and small. The overall success rates for all materials was = 72.5% (CI; 61.9%–81.0%) with a suggestion of better rates for MTA. However, the quality of the evidence was low.

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Direct pulp capping in permanent teeth more successful with MTA

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This review compared direct pulp capping in permanent teeth with MTA and calcium hydroxide including 13 studies, 10 of which were RCTs. The odds of success were higher with MTA, OR = 2.26; (95% CI, 1.33–3.85).

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Direct pulp capping: trial finds good short-term outcome success rate for new material in permanent teeth

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This small study found good short term success rates for a new MTA derived pulp capping material in permanent teeth. Larger well-conducted longer-term studies are necessary to establish its clinical utility.

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Pulp treatments for primary molars

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This new Cochrane review update finds no evidence to clearly identify one superior pulpotomy medicament and technique for primary molars.

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